Perez, Mario

Perez, Mario is an individual health care provider with primary practice located at 3850 W Flagler St , Coral Gables FL 33134-1604. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Perez, Mario can be contacted via phone (305) 774-3334.

Contact Information

Primary practice address
3850 W Flagler St Coral Gables FL 33134-1604
Phone: (305) 774-3334
Fax: (305) 475-2650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9282 Florida

Profile Details

NPI number 1427084359
LBN Legal business name Perez, Mario
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427084359 NPPES
Florida MEDICAID 000069900
Florida MEDICAID 763001800

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